2. Now Accepting Credit Cards!!
   Use the link on the submission confirmation page after you hit submit to pay with a credit card.
4. Read First!!

   IF THE NAME OF THE BUSINESS IS DIFFERENT FROM THE PRIOR YEAR'S LICENSE, please contact the City Clerk at clerksoffice@ci.delafield.wi.us or (262) 646-6220. Different forms will need to be completed.

6. Alcohol Beverage License Renewal Application

   Please use this form to upload your applications. **DO NOT FORGET TO HIT SUBMIT AT THE END OF THIS FORM. Any incomplete applications will receive an email denial with reason. The license itself cannot be completed until the criminal background check has been completed, the Common Council has approved the license, and all fees have been paid. Note: if there are any outstanding debt due to the City or the County, you may not be approved until those debts have been paid in full. Complete payment should be mailed to the Clerk's office at 500 Genesee St. Delafield, WI 53018. TO PAY BY CREDIT CARD, USE THE LINK ON THE SUBMISSION CONFIRMATION PAGE.

8. Trade/Business Name*
10. Renewing for the below time period:

    Type the renewal year here - for example July 1, 2022 to June 30, 2023.

12. Applying for a (check all that apply) and my fees will be...*

    1. Class "A" Beer ($100.00)
    2. Class "B" Beer ($100.00)
    3. "Class C" Wine ($100.00)
    4. Cigarette/Tobacco ($100.00)
    5. "Class A" Liquor ($500.00)

    1. "Class B" Liquor ($500.00)
    2. Reserve Class "B" Liquor* ($500.00)
    3. Class "B" Winery
    4. Class "A" Cider
14. Required additional fees: Publication Fee of $20 per application; Background Check Fee of $10 per Agent and $10 per NEW Officer

    Indicate your TOTAL additional required fees here. 

16. Disclaimer
    The City would like to collect the payment for your license in full at the time of the application. We understand we cannot make that a condition of your license. It does however speed up the process by which you receive your license - which will be issued via email.
18. Premise Description Information

    The City requires a detailed premises description. Please fill out the following fields. What you list here will appear on your license. Please review your current posted license for the existing premises information. Include any additional areas being utilized this year, and exclude any areas no longer in use. This description must conform with your City of Delafield Business Plan of Operation. 

20. Our alcohol will be stored...*
    Please be as descriptive as possible.
22. Our alcohol will be sold and consumed...*
    This must conform with what you have listed on your Business Plan of Operation with the City.
24. NOTE: This must conform with what you have listed on your Business Plan of Operation with the City.
25. NOTE: If you have special events, please include the name of the event or the date if you wish to have it be included in your description.
    Example: Delafield Night Out on the patio, Art Walk in the parking lot.
26. NOTE: If your business has a drive up service that you wanted to include as part of alcohol sales, please include this in your premise description. Your business plan of operation must include the drive up portion. Check with the City Planner if you are unsure.
28. Our invoices will be located...*
30. Additional Information
32. Agent Name*
33. Agent Email*
34. Agent Phone*
36. I would like the license emailed to...*
37. Contact Name*
38. Contact Phone*
40. And to (if needed)...
41. Contact Name
42. Contact Phone
44. Application Forms
    https://www.cityofdelafield.com/134/Liquor-Licenses

    The link to the required applications (will open a new tab/window). You may fill them out, print them, sign them, scan them and upload them. The applications may be uploaded together or individually. REMINDER: A copy of your most recent Wisconsin Business Tax Registration form/Wisconsin Sellers Permit is also required.
46. Make Sure You Upload Everything*

    1. Renewal Alcohol Beverage License Application (AT-115) - Required
    2. Schedule for Appointment of Agent (AT-104) - Required
    3. Auxiliary Questionnaire (AT-103) - Required for all persons listed in Sections A or B of AT-115
    4. Wisconsin Business Tax Registration form/Wisconsin Sellers Permit (most recent) - Required
    5. Cigarette and Tobacco Products Retail License Application (CTP-200) - If applicable
48. Upload - Entire Renewal Packet
50. OR
52. Upload - Renewal Alcohol Beverage License Application (AT-115) - Required
54. Upload - Schedule for Appointment of Agent (AT-104) - Required
56. Upload - Auxiliary Questionnaire(s) (AT-103) - Required for all persons listed in Sections A or B of AT-115
58. Upload - Wisconsin Business Tax Registration form/Wisconsin Sellers Permit (most recent) - Required
60. Upload - Cigarette and Tobacco Products Retail License Application (CTP-200) - If applicable
62. Upload - Other documentation (if applicable)
66. Acknowledgment*

    1. I acknowledge the following statement.

    By submitting this document, you acknowledge the following: I understand I must pay the license fee in full if I wish to have a liquor license issued to my business. I understand I can have no outstanding debt with the City of Delafield and possibly Waukesha County. I understand the agent information is sent to the Police Department for a criminal background check, a legal notice for the license is placed in the paper, and the Common Council must approve the license application before the Clerk can issue me my license. If I hold a reserve license, I understand my license is not eligible for a premises-to-premises transfer. I understand I cannot sell my retail alcohol license to another person or entity, that they must apply through the City and I either relinquish/surrender my license within the year or I do not apply for a renewal of the license at the end of the license period.
68. Upon issuance by the City Clerk, physical licenses will be emailed to the address listed earlier in this form. Paper licenses will not be mailed except upon written request. Licenses must be printed and displayed so they are visible from the point of sale.
Leave This Blank:


70. 1. Receive an email copy of this form.
71. Email address

    This field is not part of the form submission.

72. Submit

* indicates a required field